# CEP AMERICA - AUC PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487294385
- **Authorized official:** DAVID BIRDSALL (C.O.O)
- **Authorized official phone:** (510) 350-2600

## Contact information

- **Practice address:** 240 LA CASA VIA STE 200, WALNUT CREEK, CA 94598-4866
- **Practice address phone:** (925) 945-6644
- **Mailing address:** 1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
- **Mailing address phone:** (510) 350-2638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 208600000X | Surgery Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 213E00000X | Podiatrist | — | — | — |

## Other

- **Enumeration date:** 01/09/2020
- **Last updated:** 02/11/2020